However, tobacco dependence is inherent ...

However, tobacco dependence is inherent in a number of specific features that distinguish it from other substance abuse. So, if it does not develop pronounced mental disorders and personality changes, which obviously makes this kind of pathological addiction socially tolerant. In addition, when tabagism role of psychological factors in the development of addiction appears to be higher than at any other substance abuse. It is still unclear how nicotine may provide eyforiziruyuschee action. In some studies proved that, although nicotine also plays a role in the formation of tobacco dependence, it is very small compared with the value of psychological factors [15]. This clearly implies the leading role of methods of psychological effects in the treatment of tabagism. Therapy of this condition - very difficult, complex task, mainly developed by psychiatrists and psychotherapists. However, no doubt, that in Russian conditions, not every patient will turn to a psychiatrist with a request to deliver him from his addiction to smoking. Therefore the action of a general practitioner, as well as narrow specialists in various fields of somatic medicine for this patient are also of great importance. Medical advice and rational psychotherapy as methods to combat tobacco smoking is obvious that even such a simple measure as medical advice to stop smoking, is fairly efficient: in 9.7% of patients quit smoking for 12 months or more. Numbers are impressive, especially considering the huge number of smokers. Nevertheless, although most smokers recognize that medical advice would be for them the most important motivational factor for smoking cessation, only 40-50% of them have ever received such a recommendation. And only 4% of physicians believe that they can effectively influence smokers to drop out of a bad habit. From what is related to such a pessimistic assessment of physicians their potential? Perhaps it is due to the fact that not all doctors give a truly expert advice to smokers. Indeed, virtually any patient and without any advice is aware of the fact that "smoking is harmful." Another thing is that not every patient has an idea of ??what kind of damage smoking inflicts himself to his health. Therefore, in our view, medical advice should be as individualized. Smoking has a negative impact on virtually all organs and systems. The harm caused by smoking respiratory and cardiovascular systems, is well known. This fact was noted by virtually all related to the topic by the authors. In addition, there are works that describe the negative impact of smoking on the organs of the gastrointestinal tract [7, 12], the endocrine system (including the sex glands), in the eyes and ears, the blood system [8], the nervous system [13] etc. Thus, virtually every expert had information which he could use in therapeutic work with their smoking patients.